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Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience
Author(s) -
KAWAUCHI AKIHIRO,
FUJITO AKIRA,
UKIMURA OSAMU,
SOH JINTETSU,
MIZUTANI YOICHI,
IMAIDE YOICHIRO,
MIKI TSUNEHARU
Publication year - 2002
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2002.00512.x
Subject(s) - medicine , convalescence , nephrectomy , blood loss , surgery , laparoscopy , stage (stratigraphy) , urology , renal cell carcinoma , kidney , paleontology , biology
Objectives: To report our initial experience of hand‐assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors. Methods: The clinical data on 22 consecutive patients who had undergone hand‐assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7–7.5 cm incision using a LAP DISC. Results: The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 vs 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 vs 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients. Conclusion: Hand‐assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.